Med Sports Vantage PLLC
Med Sports Vantage PLLC is an Addiction Medicine (Internal Medicine) Physician in Brighton, Michigan. Licensed in Michigan. Registered with an NPI since 2017.
- Licensed in
- MI
- In the registry since
- 2017
- Specialties on file
- 4
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
210 S East St Ste 2Brighton, MI 48116-1592
Phone: (810) 626-3036
Fax: (810) 202-1130
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X |
|---|---|
| Addiction Medicine (Internal Medicine) Physician | Taxonomy 207RA0401X · Licence 5601003608 (MI) |
| Medical Specialty Clinic/Center | Taxonomy 261QM2500X · Licence 5601003608 (MI) |
| Physician Assistant | Taxonomy 363A00000X · Licence 5601003608 (MI) |
Record details
| NPI number | 1326587114 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rachel Lethorn — Ceo / Owner · (810) 626-3036 |
| Other names | Med Sports Vantage; Med Sports Vantage Pllc; Med Sports Vantage Pllc |
| NPI enumerated | February 14, 2017 |
| Last updated in NPPES | March 25, 2023 |
| Certification date | March 25, 2023 |
| Mailing address | 210 S East St Ste 2, Brighton, MI 48116-1592 |